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General NPI Number Information
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NPI Number | 1508638768
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Entity Type | Organization
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Legal Business Name | K SIMMS PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 23 MOREY LN
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City | RANDOLPH
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State | NJ
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Zip | 07869-4628
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Country | US
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Telephone | 973-727-8926
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Fax |
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Provider Business Mailing Address
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Address Line | 23 MOREY LN
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City | RANDOLPH
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State | NJ
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Zip | 07869-4628
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Country | US
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Telephone | 973-727-8926
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KENNETH SIMMS
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Credential | PT, DPT
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Telephone | 973-727-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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